Two PREDICTIONS that came true! - An update for physicians on the business of medicine.
In the past month Dr. Lakowsky and the rest of the team here at Reimbursement Rx has published some pretty bold statements. Well based on recent developments, it looks like those statements were right!
"With a level of bipartisan support that has become rare, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015, eliminating the SGR. The purpose of the legislation was to move Medicare toward reimbursement based more on outcomes and value. The Medicare Payment Advisory Commission (MedPAC) has now questioned whether the current version of MACRA accomplishes these goals or even moves the system in a better direction."
The article goes on to point out flaws in the physician compensation bonus structure that would result from implementing MACRA - exactly what we had pointed out!
It's unclear right now how this situation will develop, but we are happy to report that it looks like the original proposed flawed system will NOT be enacted!
PREDICTION #2: DIRECT PRIMARY CARE ONLY MAKES SENSE IF INSURANCE PAYS FOR IT!
In a recent article ("Direct Primary Care - What it's missing!") , we wrote about Direct Primary Care and how we believe that the DPC model only makes sense as a cost-saving measure for patients if insurance companies pay the retainer, and not the patient themselves.
Well, the Centers for Medicare & Medicaid Services (CMS) has been looking into just that idea and has recently announced that it is looking to allow physicians to contract directly with the Medicare beneficiaries they serve! (Read more about it here.)
We are looking forward to seeing the results of the debate on Direct Provider Contracting, and are in support of such a model being enacted. Regardless of the outcome, we will report back with updates on this issue!
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